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NPI Code Detail

MEDICARE: CALIFORNIA CITY YELLOW CAB COMPANY

MEDICARE: CALIFORNIA CITY YELLOW CAB COMPANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1344600000XTaxi11035CA

General Provider Information

NPI Number : 1871049619
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA CITY YELLOW CAB COMPANY
Provider Business Mailing Address
First Line : 8421 QUEZON AVE
Second Line :
City : CALIFORNIA CITY
State : CA
Zip : 93505-1936
Country : US
Telephone Number : 760-338-3494
Fax Number :
Provider Business Practice Location Address
First Line : 8421 QUEZON
Second Line :
City : CALIFORNIA CITY
State : CA
Zip : 93505
Country : US
Telephone Number : 760-338-3494
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : MR. TRAVIS C AGE
Credential :
Telephone Number : 760-338-3494
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/31/2016

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Directions to “CALIFORNIA CITY YELLOW CAB COMPANY ” Practice Location

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